Substance Abuse Treatment, Prevention, and Policy最新文献

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A cost benefit analysis of a virtual overdose monitoring service/mobile overdose response service: the national overdose response service. 虚拟过量监测服务/移动过量反应服务的成本效益分析:国家过量反应服务。
3区 医学
Substance Abuse Treatment, Prevention, and Policy Pub Date : 2023-10-04 DOI: 10.1186/s13011-023-00565-8
William Rioux, Benjamin Enns, Jennifer Jackson, Hena Quereshi, Mike Irvine, S Monty Ghosh
{"title":"A cost benefit analysis of a virtual overdose monitoring service/mobile overdose response service: the national overdose response service.","authors":"William Rioux, Benjamin Enns, Jennifer Jackson, Hena Quereshi, Mike Irvine, S Monty Ghosh","doi":"10.1186/s13011-023-00565-8","DOIUrl":"10.1186/s13011-023-00565-8","url":null,"abstract":"<p><strong>Background: </strong>The overdose crisis continues across Canada which calls for novel harm reduction strategies. Previous research indicates that a majority of eHealth solutions are cost-effective however current literature on the cost-benefit of eHealth for harm reduction is sparse. The National Overdose Response Service (NORS) is a Canada-wide telephone-based harm reduction service. Service users can call the phone number and connect to a peer who can virtually monitor the substance use session and dispatch appropriate interventions in the case of overdose.</p><p><strong>Objectives of the research/project: </strong>We aim to assess the cost-benefit of NORS by comparing the estimated cost-savings from prevented overdose mortality to the operating costs of the program, alongside healthcare costs associated with its operation.</p><p><strong>Methods: </strong>Data around systems costs and operational costs were gathered for our calculations. Our primary outcome was cost-benefit ratios, derived from estimates and models of mortality rates in current literature and value of life lost. We presented our main results across a range of values for costs and the probability of death following an unwitnessed overdose. These values were utilized to calculate cost-benefit ratios and value per dollar spent on service provision by NORS over the length of the program's operation (December 2020-2022).</p><p><strong>Results: </strong>Over the total funded lifespan of the program, and using a Monte Carlo estimate, the benefit-to-cost ratio of the NORS program was 8.59 (1.53-15.28) per dollar spent, depending on estimated mortality rates following unwitnessed overdose and program operation costs. Further, we conservatively estimate that early community-based naloxone intervention results in healthcare system savings of $4470.82 per overdose response.</p><p><strong>Conclusions: </strong>We found the NORS program to have a positive benefit-to-cost ratio when the probability of death following an unwitnessed overdose was greater than 5%. NORS and potentially other virtual overdose monitoring services have the potential to be cost-effective solutions for managing the drug poisoning crisis.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"18 1","pages":"57"},"PeriodicalIF":0.0,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10548617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41144088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The impact of relaxing restrictions on take-home doses during the COVID-19 pandemic on program effectiveness and client experiences in opioid agonist treatment: a mixed methods systematic review. 新冠肺炎大流行期间放宽随用剂量限制对阿片类激动剂治疗项目有效性和客户体验的影响:一项混合方法系统综述。
3区 医学
Substance Abuse Treatment, Prevention, and Policy Pub Date : 2023-09-30 DOI: 10.1186/s13011-023-00564-9
Alison Adams, Sarin Blawatt, Tianna Magel, Scott MacDonald, Julie Lajeunesse, Scott Harrison, David Byres, Martin T Schechter, Eugenia Oviedo-Joekes
{"title":"The impact of relaxing restrictions on take-home doses during the COVID-19 pandemic on program effectiveness and client experiences in opioid agonist treatment: a mixed methods systematic review.","authors":"Alison Adams, Sarin Blawatt, Tianna Magel, Scott MacDonald, Julie Lajeunesse, Scott Harrison, David Byres, Martin T Schechter, Eugenia Oviedo-Joekes","doi":"10.1186/s13011-023-00564-9","DOIUrl":"10.1186/s13011-023-00564-9","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic led to an unprecedented relaxation of restrictions on take-home doses in opioid agonist treatment (OAT). We conducted a mixed methods systematic review to explore the impact of these changes on program effectiveness and client experiences in OAT.</p><p><strong>Methods: </strong>The protocol for this review was registered in PROSPERO (CRD42022352310). From Aug.-Nov. 2022, we searched Medline, Embase, CINAHL, PsycInfo, Web of Science, Cochrane Register of Controlled Trials, and the grey literature. We included studies reporting quantitative measures of retention in treatment, illicit substance use, overdose, client health, quality of life, or treatment satisfaction or using qualitative methods to examine client experiences with take-home doses during the pandemic. We critically appraised studies using the Mixed Methods Appraisal Tool. We synthesized quantitative data using vote-counting by direction of effect and presented the results in harvest plots. Qualitative data were analyzed using thematic synthesis. We used a convergent segregated approach to integrate quantitative and qualitative findings.</p><p><strong>Results: </strong>Forty studies were included. Most were from North America (23/40) or the United Kingdom (9/40). The quantitative synthesis was limited by potential for confounding, but suggested an association between take-home doses and increased retention in treatment. There was no evidence of an association between take-home doses and illicit substance use or overdose. Qualitative findings indicated that take-home doses reduced clients' exposure to unregulated substances and stigma and minimized work/treatment conflicts. Though some clients reported challenges with managing their medication, the dominant narrative was one of appreciation, reduced anxiety, and a renewed sense of agency and identity. The integrated analysis suggested reduced treatment burden as an explanation for improved retention and revealed variation in individual relationships between take-home doses and illicit substance use. We identified a critical gap in quantitative measures of patient-important outcomes.</p><p><strong>Conclusion: </strong>The relaxation of restrictions on take-home doses was associated with improved client experience and retention in OAT. We found no evidence of an association with illicit substance use or overdose, despite the expansion of take-home doses to previously ineligible groups. Including patient-important outcome measures in policy, program development, and treatment planning is essential to ensuring that decisions around take-home doses accurately reflect their value to clients.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"18 1","pages":"56"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10543348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41145016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pharmacy-based methadone treatment in the US: views of pharmacists and opioid treatment program staff. 美国基于药物的美沙酮治疗:药剂师和阿片类药物治疗项目工作人员的观点。
3区 医学
Substance Abuse Treatment, Prevention, and Policy Pub Date : 2023-09-11 DOI: 10.1186/s13011-023-00563-w
Li-Tzy Wu, Paolo Mannelli, William S John, Alyssa Anderson, Robert P Schwartz
{"title":"Pharmacy-based methadone treatment in the US: views of pharmacists and opioid treatment program staff.","authors":"Li-Tzy Wu, Paolo Mannelli, William S John, Alyssa Anderson, Robert P Schwartz","doi":"10.1186/s13011-023-00563-w","DOIUrl":"10.1186/s13011-023-00563-w","url":null,"abstract":"<p><strong>Background: </strong>The US federal regulations allow pharmacy administration and dispensing of methadone for opioid use disorder (PADMOUD) to increase the capability of opioid treatment programs (OTPs) in providing methadone maintenance treatment (MMT) for opioid use disorder (OUD) as part of a medication unit. However, there is a lack of research data from both pharmacy and OTP staff to inform the implementation of PADMOUD.</p><p><strong>Methods: </strong>Staff of a pharmacy (n = 8) and an OTP (n = 9) that participated in the first completed US trial on PADMOUD through electronic prescribing for methadone (parent study) were recruited to participate in this qualitative interview study to explore implementation-related factors for PADMOUD. Each interview was recorded and transcribed verbatim. NVivo was used to help identify themes of qualitative interview data. The Promoting Action on Research Implementation in Health Services (PARIHS) framework was used to guide the coding and interpretation of data.</p><p><strong>Results: </strong>Six pharmacy staff and eight OTP staff (n = 14) completed the interview. Results based on PARIHS domains were summarized, including evidence, context, and facilitation domains. Participants perceived benefits of PADMOUD for patients, pharmacies, OTPs, and payers. PADMOUD was considered to increase access for stable patients, provide additional patient service opportunities and revenues for pharmacies/pharmacists, enhance the capability of OTPs to treat more new patients, and reduce patients' cost when receiving medication at a pharmacy relative to an OTP. Both pharmacy and OTP staff were perceived to be supportive of the implementation of PADMOUD. Pharmacy staff/pharmacists were perceived to need proper training on addiction and methadone as well as a protocol of PADMOUD to conduct PADMOUD. Facilitators include having thought leaders to guide the operation, a certification program to ensure proper training of pharmacy staff/pharmacist, having updated pharmacy service software or technology to streamline the workflow of delivering PADMOUD and inventory management, and reimbursement for pharmacists.</p><p><strong>Conclusion: </strong>This study presents the first findings on perspectives of PADMOUD from both staff of a community pharmacy and an OTP in the US. Finding on barriers and facilitators are useful data to guide the development of strategies to implement PADMOUD to help address the US opioid crisis.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"18 1","pages":"55"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10496162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10241857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Theory-based correlates of cannabis use and intentions among US and Israeli adults: a mixed methods study. 美国和以色列成年人大麻使用和意图的理论相关性:一项混合方法研究。
3区 医学
Substance Abuse Treatment, Prevention, and Policy Pub Date : 2023-09-06 DOI: 10.1186/s13011-023-00562-x
Yuxian Cui, Cassidy R LoParco, Yael Bar-Zeev, Zongshuan Duan, Hagai Levine, Lorien C Abroms, Yan Wang, Amal Khayat, Carla J Berg
{"title":"Theory-based correlates of cannabis use and intentions among US and Israeli adults: a mixed methods study.","authors":"Yuxian Cui, Cassidy R LoParco, Yael Bar-Zeev, Zongshuan Duan, Hagai Levine, Lorien C Abroms, Yan Wang, Amal Khayat, Carla J Berg","doi":"10.1186/s13011-023-00562-x","DOIUrl":"10.1186/s13011-023-00562-x","url":null,"abstract":"<p><strong>Background: </strong>In the US and Israel, non-medical ('recreational') cannabis use is illegal at the national level; however, use rates are high and decriminalization and legalization is spreading. Thus, theory-based intervention efforts, especially for youth prevention, are crucial.</p><p><strong>Methods: </strong>This mixed-methods study of adults in the US (n = 1,128) and Israel (n = 1,094) analyzed: 1) cross-sectional survey data (Fall 2021) to identify theory-based correlates (risk perceptions, social norms) of past-month cannabis use, next-year use intentions, and intentions to use in the home or among children if non-medical cannabis was legal, using multivariable regression; and 2) qualitative interviews regarding perceptions of cannabis policies and use (US n = 40, Israel n = 44).</p><p><strong>Results: </strong>16.7% reported past-month use; 70.5%, 56.3%, and 82.6% indicated \"not at all likely\" regarding next-year use and use in the home and among children if legal. Lower perceived risk and greater social norms were associated with past-month use, greater use intentions, and greater intentions to use in the home or among children. Past-month use was more prevalent among US (vs. Israeli) participants (22.0% vs. 11.2%); however, in multivariable regression controlling for past-month use, being from Israel was associated with greater use intentions (next-year; in the home/among children). Qualitative themes indicated: concerns about use (e.g., increasing use, health risks, driving-related risks) and legalization (e.g., impact on society/economy, marketing), and perceived benefits of use (e.g., medical) and legalization (e.g., access/safety, economic, individual rights).</p><p><strong>Conclusions: </strong>Despite differences in cannabis perceptions and use across countries, perceived risk and social norms are relevant intervention targets regardless of sociopolitical context.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"18 1","pages":"54"},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10483868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10252403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Drugs involved in Kentucky drug poisoning deaths and relation with antecedent controlled substance prescription dispensing. 涉及肯塔基州药物中毒死亡的药物及其与先前受控物质处方配药的关系。
3区 医学
Substance Abuse Treatment, Prevention, and Policy Pub Date : 2023-09-01 DOI: 10.1186/s13011-023-00561-y
Patricia R Freeman, Jana McAninch, Nabarun Dasgupta, Douglas R Oyler, Krassimir Slavov, Candice Collins, Sarah Hargrove, Edward Freeman, Dustin Miracle, Svetla Slavova
{"title":"Drugs involved in Kentucky drug poisoning deaths and relation with antecedent controlled substance prescription dispensing.","authors":"Patricia R Freeman, Jana McAninch, Nabarun Dasgupta, Douglas R Oyler, Krassimir Slavov, Candice Collins, Sarah Hargrove, Edward Freeman, Dustin Miracle, Svetla Slavova","doi":"10.1186/s13011-023-00561-y","DOIUrl":"10.1186/s13011-023-00561-y","url":null,"abstract":"<p><strong>Background: </strong>The shift from prescription to illicit drugs involved in drug poisoning deaths raises questions about the current utility of prescription drug monitoring program (PDMP) data to inform drug poisoning (overdose) prevention efforts. In this study, we describe relations between specific drugs involved in Kentucky drug poisoning deaths and antecedent controlled substance (CS) dispensing.</p><p><strong>Methods: </strong>The study used linked death certificates and PDMP data for 2,248 Kentucky resident drug poisoning deaths in 2021. Death certificate literal text analysis identified drugs mentioned with involvement (DMI) in drug poisoning deaths. We characterized the concordance between each DMI and the CS dispensing history for this drug at varying timepoints since 2008.</p><p><strong>Results: </strong>Overall, 25.5% of all decedents had dispensed CS in the month before fatal drug poisoning. Over 80% of decedents were dispensed opioid(s) since 2008; the percentage was similar regardless of opioid involvement in the poisoning death. One-third of decedents had dispensed buprenorphine for treatment of opioid use disorder since 2008, but only 6.1% had dispensed buprenorphine in the month preceding death. Fentanyl/fentanyl analogs were DMI in 1,568 (69.8%) deaths, yet only 3% had received a fentanyl prescription since 2008. The highest concordance in the month preceding death was observed for clonazepam (43.6%).</p><p><strong>Conclusion: </strong>Overall, concordance between CS dispensing history and the drugs involved in poisoning deaths was low, suggesting a need to reevaluate the complex relationships between prescription medication exposure and overdose death and to expand harm reduction interventions both within and outside the healthcare system to reduce drug poisoning mortality.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"18 1","pages":"53"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10474700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10566652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of an addiction recovery patient-reported outcome measure: Response to Addiction Recovery (R2AR). 成瘾康复患者的发展报告了结果测量:成瘾康复反应(R2AR)。
3区 医学
Substance Abuse Treatment, Prevention, and Policy Pub Date : 2023-09-01 DOI: 10.1186/s13011-023-00560-z
Elisabeth Okrant, Sharon Reif, Constance M Horgan
{"title":"Development of an addiction recovery patient-reported outcome measure: Response to Addiction Recovery (R2AR).","authors":"Elisabeth Okrant, Sharon Reif, Constance M Horgan","doi":"10.1186/s13011-023-00560-z","DOIUrl":"10.1186/s13011-023-00560-z","url":null,"abstract":"<p><strong>Background: </strong>Recovery, a primary goal of addiction treatment, goes beyond abstinence. Incorporating broad domains with key elements that vary across individuals, recovery is a difficult concept to measure. Most addiction-related quality measurement has emphasized process measures, which limits evaluation of treatment quality and long-term outcomes, whereas patient-reported outcomes are richer and nuanced. To address these gaps, this study developed and tested a patient-reported outcome measure for addiction recovery, named Response to Addiction Recovery (R2AR).</p><p><strong>Methods: </strong>A multi-stage mixed methods approach followed the Patient-Reported Outcomes Measurement Information System (PROMIS) measure development standard. People with lived experience (PWLE) of addiction, treatment providers, and other experts contributed to item distillation and iterative measure refinement. From an item bank of 356 unique items, 57 items were tested via survey and interviews, followed by focus groups and cognitive interviews.</p><p><strong>Results: </strong>Face validity was demonstrated throughout. PWLE rated item importance higher and with greater variance than providers, yet both agreed that \"There are more important things to me in my life than using substances\" was the most important item. The final R2AR instrument has 19 items across 8 recovery domains, spanning early, active, and long-term recovery phases. Respondents assess agreement for each item as (1) a strength, and (2) importance to ongoing recovery.</p><p><strong>Conclusion: </strong>R2AR allows PWLE to define what is important to their recovery. It is designed to support treatment planning as part of clinical workflows and to track recovery progress. Inclusion of PWLE and providers in the development process enhances its face validity. Including PWLE in the development of R2AR and using the tool to guide recovery planning emphasizes the importance of patient-centeredness in designing clinical tools and involving patients in their own care.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"18 1","pages":"52"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10474628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10566654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring electronic cigarette portrayals: a content and thematic analysis of African online news coverage. 探索电子烟的描绘:非洲在线新闻报道的内容和主题分析。
3区 医学
Substance Abuse Treatment, Prevention, and Policy Pub Date : 2023-08-29 DOI: 10.1186/s13011-023-00559-6
Chimwemwe Ngoma, Yusuff Adebayo Adebisi
{"title":"Exploring electronic cigarette portrayals: a content and thematic analysis of African online news coverage.","authors":"Chimwemwe Ngoma, Yusuff Adebayo Adebisi","doi":"10.1186/s13011-023-00559-6","DOIUrl":"10.1186/s13011-023-00559-6","url":null,"abstract":"<p><strong>Background: </strong>Electronic cigarette use has surged internationally in recent years, with numerous countries noting an uptick in users. Despite this, the portrayal of e-cigarette usage in African news remains unclear.</p><p><strong>Methods: </strong>This research investigates the subject, employing a mixed-methodology approach. The study units were news articles on electronic cigarette use retrieved from AllAfrica, an online African news archive. A total of 38 online news and opinion articles published between June 2017 and June 2022 qualified the exclusion and inclusion criteria. A content analysis revealed prevalent codes and themes, while a thematic analysis explored the association between news sources and framing.</p><p><strong>Results: </strong>The results indicate that articles and arguments presenting e-cigarettes positively outnumber those with a negative slant. The health impacts of electronic cigarettes emerged as the most discussed topic, with health authorities frequently cited as news sources. However, these health authorities often lacked a unified stance on e-cigarette safety.</p><p><strong>Conclusion: </strong>The lack of consensus among health officials could have public health consequences, possibly resulting in the formulation of uninformed policies.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"18 1","pages":"50"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10466762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nicotine dependence and associated factors among persons who use electronic e-cigarettes in Malaysia - an online survey. 马来西亚电子烟使用者的尼古丁依赖及相关因素——一项在线调查。
3区 医学
Substance Abuse Treatment, Prevention, and Policy Pub Date : 2023-08-29 DOI: 10.1186/s13011-023-00558-7
Chandrashekhar T Sreeramareddy, Sameeha Misriya Shroff, Shilpa Gunjal
{"title":"Nicotine dependence and associated factors among persons who use electronic e-cigarettes in Malaysia - an online survey.","authors":"Chandrashekhar T Sreeramareddy, Sameeha Misriya Shroff, Shilpa Gunjal","doi":"10.1186/s13011-023-00558-7","DOIUrl":"10.1186/s13011-023-00558-7","url":null,"abstract":"<p><strong>Background: </strong>Nicotine dependence, factors associated with dependence, and self-reported side effects among people who use e-cigarettes are scarce in developing countries.</p><p><strong>Methods: </strong>A sample of 302 persons who currently use e-cigarettes was recruited from discussion forums on Reddit, Facebook, and the forum 'lowyat'. The online Google form survey collected data on demographics, e-cigarette use, and the reasons, for cigarette smoking, Fagerstorm Test for Nicotine Dependence adapted for e-cigarettes (eFTND), and side effects experienced.</p><p><strong>Results: </strong>The mean age was 25.5 years (6.5), 60.6% were males and 86% had higher education. About 47% were using e-cigarettes only, 27.8% were currently using dual products (both electronic and conventional cigarettes), and 25.2% had also smoked cigarettes in the past. 'Less harmful than cigarettes' (56.3%), 'because I enjoy it' (46.7%), and 'it has a variety of flavors (40.4%) were the common reasons for e-cigarette use. The mean eFTND score was 3.9 (SD = 2.2), with a median of four side effects (IQR 3-6), sore or dry mouth/throat (41.4%), cough 33.4%, headache (20.5%), dizziness (16.2%) were commonly reported side effects. eFTND score and side effects were higher among persons using dual products. By multiple linear regression analysis, males (β = 0.56 95% CI 0.45, 1.05, p = 0.033), dual-use (β = 0.95 95% CI 0.34, 1.56, p < 0.003), and use of nicotine-containing e-cigarettes (β = 0.66 95% CI 0.07, 1.25 p = 0.024) had higher eFTND score.</p><p><strong>Conclusion: </strong>Our findings of the study call for the placement of disclaimers about possible nicotine addiction and side effects of e-cigarette products.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"18 1","pages":"51"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10466701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10194487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The international center for alcohol policies (ICAP) book series: a key resource globally for alcohol industry political strategies. 国际酒精政策中心(ICAP)丛书:全球酒精工业政治战略的关键资源。
3区 医学
Substance Abuse Treatment, Prevention, and Policy Pub Date : 2023-08-18 DOI: 10.1186/s13011-023-00556-9
Andrew Bartlett, Jim McCambridge
{"title":"The international center for alcohol policies (ICAP) book series: a key resource globally for alcohol industry political strategies.","authors":"Andrew Bartlett, Jim McCambridge","doi":"10.1186/s13011-023-00556-9","DOIUrl":"10.1186/s13011-023-00556-9","url":null,"abstract":"<p><p>This study examines the functions and purposes of the International Center for Alcohol Policies (ICAP) book series, published by Routledge between 1998 and 2010. The books were authored by invited academics, ICAP staffers, and alcohol industry representatives.The key data source for this paper was the framing material - forewords, introductions, conclusions - of the books. A thematic analysis positioned the contents with regard to ongoing alcohol research and public health policy issues.This was a project to 'shift the paradigm'. ICAP frames alcohol policy choices in ways which direct policy attention to sub-groups rather than the population level. Population-level approaches are caricatured as 'ideological'. The concept of 'balance' is prominent and is employed in multiple ways. Business interests are elided and industry involvement in policy making is promoted on scientific grounds. The intellectual programme is lent credibility by leading scientists and the imprimatur of an academic publisher.While this attempt to change the paradigm in alcohol science has failed, ineffective alcohol policies remain common, uninformed by scientific evidence on how harms at the societal level may be reduced. The ICAP book series continues to serve its function as a resource to support the status quo in respect of alcohol policy.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"18 1","pages":"49"},"PeriodicalIF":0.0,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10436666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10196702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to: Linkage to hepatitis C treatment in two opioid substitution treatment units in Gothenburg, Sweden: a retrospective cohort study. 更正:瑞典哥德堡两个阿片类药物替代治疗单位与丙型肝炎治疗的联系:一项回顾性队列研究。
3区 医学
Substance Abuse Treatment, Prevention, and Policy Pub Date : 2023-08-03 DOI: 10.1186/s13011-023-00555-w
Magdalena Ydreborg, Emil Lundström, Rosanna Kolleby, Sofia Lexén, Elena Pizarro, Jessica Lindgren, Rune Wejstål, Simon B Larsson
{"title":"Correction to: Linkage to hepatitis C treatment in two opioid substitution treatment units in Gothenburg, Sweden: a retrospective cohort study.","authors":"Magdalena Ydreborg, Emil Lundström, Rosanna Kolleby, Sofia Lexén, Elena Pizarro, Jessica Lindgren, Rune Wejstål, Simon B Larsson","doi":"10.1186/s13011-023-00555-w","DOIUrl":"10.1186/s13011-023-00555-w","url":null,"abstract":"","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"18 1","pages":"48"},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10401726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9999549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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